Individual
JENNIFER NICHOLE COOPER NOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
(816) 777-2778
Mailing address
3515 BROADWAY BLVD, KANSAS CITY, MO 64111-2501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2016035599
MO
1041C0700X
Clinical Social Worker
Primary
LSCSW05903
KS
Other
Enumeration date
08/15/2017
Last updated
12/14/2022
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